International Journal of Circumpolar Health最新文献_第2页

Health in Swedish integration policies - a discourse analysis. 瑞典一体化政策中的健康问题——话语分析。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-02-06 DOI: 10.1080/22423982.2025.2463193

Sara Svanholm, Heidi Carlerby, Eija Viitasara

{"title":"Health in Swedish integration policies - a discourse analysis.","authors":"Sara Svanholm, Heidi Carlerby, Eija Viitasara","doi":"10.1080/22423982.2025.2463193","DOIUrl":"10.1080/22423982.2025.2463193","url":null,"abstract":"Previous research has indicated that migrants risk facing inequities both internationally and in Sweden; integration policies are therefore important to study. How health is described in policies affects how health interventions are approached. Discourse analysis offers a way of understanding how health is framed within the integration policies affecting newly arrived migrants in Sweden. The aim was to analyse the health discourses used in Swedish and European Union (EU) integration policies. A discourse analysis, inspired by Fairclough, was performed on integration policies related to Sweden, at local, regional, national and EU levels. The policies of the Establishment Program, which focuses on newly arrived migrants (refugees, persons of subsidiary protection and their relatives who arrived through family reunification), were chosen for the analysis, and 17 documents were analysed in total. The analysis of the documents showed how the health discourses were expressed in the form of the medicalisation of health, the individualisation of health and the risk of ill health. A pathogenic approach to health was visible in the policies and individual disease prevention or rehabilitation was the main health focus. The results showed similarities to previous research highlighting how a particular understanding of health in a neoliberal context is formed.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2463193"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11803759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Collective wellbeing sacrifices versus superior ego - perspectives on adherence to COVID-19 recommendations in Stockholm, Sweden. 集体福祉牺牲与优越自我——瑞典斯德哥尔摩关于遵守COVID-19建议的观点

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2024-12-17 DOI: 10.1080/22423982.2024.2438431

Dan Sigvardsson, Marlene Makenzius

{"title":"Collective wellbeing sacrifices versus superior ego - perspectives on adherence to COVID-19 recommendations in Stockholm, Sweden.","authors":"Dan Sigvardsson, Marlene Makenzius","doi":"10.1080/22423982.2024.2438431","DOIUrl":"10.1080/22423982.2024.2438431","url":null,"abstract":"During the COVID-19 pandemic, Sweden adopted a recommendation-based approach rather than strict lockdowns. This approach relies on public willingness to adhere to guidelines and motivations for prosocial behaviour. This study aimed to explore the motivations behind adherence or non-adherence to COVID-19 recommendations in Sweden. Semi-structured interviews were conducted in 2022 with 20 participants aged 26 to 63, all residing and working in Stockholm. The interviews were conducted via online platforms, Teams and Zoom, transcribed and analysed using content analysis. The analysis yielded two overarching themes that motivated adherence or non-adherence, Sacrificing comfort for collective wellbeing and A sense of being superior and able to handle national recommendations in your own way derived from six categories: (i) Social pressure and the desire to appear prosocial, (ii) Embracing a new reality as a means to return to normalcy, (iii) The absence of punitive measures for non-adherence, (iv) Creating safe environments and circumventing the system, (v) Negotiating which recommendations to follow and (vi) Diminished adherence over time. Adherence to public health recommendations was driven by social pressure and a desire to protect loved ones, often requiring personal sacrifices and behavioural adjustments. Conversely, non-adherence stemmed from a sense of autonomy, mental well-being preservation and tiredness, highlighting the challenges of sustaining compliance over time.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2438431"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Healthcare delivery in the arctic-telehealth prospects. 北极地区的医疗保健服务——远程医疗前景。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2024-12-17 DOI: 10.1080/22423982.2024.2438429

Yonatan Hayoun, Israel Gannot

{"title":"Healthcare delivery in the arctic-telehealth prospects.","authors":"Yonatan Hayoun, Israel Gannot","doi":"10.1080/22423982.2024.2438429","DOIUrl":"10.1080/22423982.2024.2438429","url":null,"abstract":"The Arctic region, characterised by its remote and geographically challenging environment, is home to predominantly Indigenous populations who experience significant healthcare disparities compared to urban counterparts. This paper synthesises evidence on the persistent challenges in delivering healthcare in the Arctic, including geographical remoteness, healthcare personnel shortages, and cultural and language barriers. Telehealth emerges as a crucial solution, offering a nuanced approach to overcoming physical and systemic barriers. We review current implementations of telehealth in the Arctic, highlighting successful adaptations to local cultural contexts and technological limitations. By integrating a patient-centred approach, infrastructure readiness, and relevant telehealth services, a holistic healthcare delivery model tailored for the Arctic environment is proposed. New type of technologies is also proposed to enhance remote care possibilities. This paper underscores the need for collaborative efforts in research, policy making, and healthcare provision to ensure the sustainability and effectiveness of health services in the Arctic, aiming to close the gap in health equity. Key references from seminal works and recent studies provide a foundation for the discussions and recommendations presented.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2438429"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Visual profiling and vision screening of preschool children in Greenland. 格陵兰学龄前儿童的视觉分析和视力筛查。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-04-08 DOI: 10.1080/22423982.2025.2489194

Nick Duelund, Ivan Nisted, Marit Eika Jørgensen, Steffen Heegaard, Hanne Jensen

{"title":"Visual profiling and vision screening of preschool children in Greenland.","authors":"Nick Duelund, Ivan Nisted, Marit Eika Jørgensen, Steffen Heegaard, Hanne Jensen","doi":"10.1080/22423982.2025.2489194","DOIUrl":"10.1080/22423982.2025.2489194","url":null,"abstract":"A population-based cross-sectional study was conducted in six towns in Greenland to establish normative data on refraction and visual acuity in preschool children and to develop a practical vision screening method suited to Greenlandic healthcare needs. We recruited 274 children born in 2017 through kindergartens in six towns. The only exclusion criterion was known eye disease under ophthalmological care. Vision screening was performed by an optometrist, assessing distance visual acuity with Kay Pictures, binocular near visual acuity with Lea Symbols, stereoacuity with the Lang II Test, and non-cycloplegic refraction using the Plusoptix A12R. An ophthalmologist conducted follow-up examinations, including cycloplegic refraction, within one week. Of 532 eligible children, 274 participated (144 boys, 133 girls; mean age 4.7 years). The mean visual acuity for the worse- and best-seeing eye was 0.05 (±0.16 SD) and 0.01 (±0.12 SD) logMAR, respectively. Cycloplegic myopia (≤-0.5 dioptres) was found in 5%, while 18% had hyperopia >+2.0 dioptres. Most preschool children in Greenland have good visual acuity and mild hyperopia. Vision screening combining the Plusoptix autorefractor and distance visual acuity demonstrated the highest sensitivity (89%) for identifying children needing further evaluation. Implementing this vision screening method in kindergartens is recommended to improve early detection and treatment outcomes.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2489194"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application of water safety planning to improve drinking water safety in an Arctic community - a case study in Cambridge Bay, Nunavut. 水安全规划在改善北极社区饮用水安全中的应用——以努纳武特剑桥湾为例。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-04-18 DOI: 10.1080/22423982.2025.2494889

Caroline Duncan, Elan Chalmers, Stephanie Gora

{"title":"Application of water safety planning to improve drinking water safety in an Arctic community - a case study in Cambridge Bay, Nunavut.","authors":"Caroline Duncan, Elan Chalmers, Stephanie Gora","doi":"10.1080/22423982.2025.2494889","DOIUrl":"https://doi.org/10.1080/22423982.2025.2494889","url":null,"abstract":"Water safety planning is a risk management approach that accounts for quantitative and qualitative drinking water hazards and includes ongoing input from stakeholders. This approach has been applied in jurisdictions across the world including Canada. Rural and remote communities in Canada, impacted by water safety, stand to benefit most from holistic approaches to water safety risk management such as water safety planning. Unfortunately, these communities typically have limited resources to engage in this approach. Additionally, most remote communities rely on truck and cistern water systems, which have less understood hazards than communities in Canada with piped service. In this study, we report the results of an initial water safety planning case study in Cambridge Bay, Nunavut. We identified numerous water quality hazards including disinfection byproducts in trucks, manganese in the source water, and copper in tap water, as well as operational challenges that increase the risk of water emergencies in the community. We conclude that water safety planning has the potential to substantially improve water safety in Nunavut but current information gaps as well as complex stakeholder interactions are likely to hinder top-down attempts. A dynamic and inclusive approach is recommended that incorporates a targeted exploration of water safety hazards.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2494889"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vitamin D status in Faroese adults and its association with inflammatory bowel diseases - a cross-sectional study from the FarGen 2 project. 法罗群岛成年人维生素D水平及其与炎症性肠病的关系——来自FarGen 2项目的横断面研究

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-06-20 DOI: 10.1080/22423982.2025.2519803

Randi Næss Lisberg, Kári Rubek Nielsen, Leivur Nattestad Lydersen, Katrin Didriksen Apol, Jóngerð Midjord, Olivia Gray, Melissa Hendershott, Marin Strøm, Noomi Oddmarsdóttir Gregersen

{"title":"Vitamin D status in Faroese adults and its association with inflammatory bowel diseases - a cross-sectional study from the FarGen 2 project.","authors":"Randi Næss Lisberg, Kári Rubek Nielsen, Leivur Nattestad Lydersen, Katrin Didriksen Apol, Jóngerð Midjord, Olivia Gray, Melissa Hendershott, Marin Strøm, Noomi Oddmarsdóttir Gregersen","doi":"10.1080/22423982.2025.2519803","DOIUrl":"10.1080/22423982.2025.2519803","url":null,"abstract":"Vitamin D is vital for physiological functions and is obtained primarily through sunlight and a few dietary sources. With limited sunlight exposure, the Faroe Islands face challenges in maintaining sufficient levels of vitamin D, while the Faroese population has documented the highest incidence and prevalence of inflammatory bowel disease worldwide. This study investigates vitamin D status among Faroese adults and its association with inflammatory bowel disease as well as other self-reported diseases in a subset of the Faroe Genome Project 2. Cross-sectional study including 1,748 participants aged 18-86 years. Among participants, 74.3% maintained sufficient vitamin D levels, while 25.7% were insufficient (<50 nmol/l). Individuals with conditions like hypertension, type 2 diabetes, and inflammatory bowel disease showed significantly higher rates of vitamin D sufficiency compared to those without these conditions. Notably, 83% of participants with inflammatory bowel disease had sufficient vitamin D. Our data reveal higher vitamin D levels compared to previous studies in the Faroe Islands. Furthermore, contrary to our hypothesis, our data shows higher vitamin D levels for participants reporting diseases including inflammatory bowel disease, indicating patients with inflammatory bowel disease can attain high vitamin D levels, which is of considerable clinical importance.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2519803"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144336420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Addressing barriers to addiction recovery services in the Northwest Territories, Canada. 解决加拿大西北地区戒毒服务的障碍。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-06-10 DOI: 10.1080/22423982.2025.2516872

Bryany Denning, Barbara Broers, Pertice Moffitt

{"title":"Addressing barriers to addiction recovery services in the Northwest Territories, Canada.","authors":"Bryany Denning, Barbara Broers, Pertice Moffitt","doi":"10.1080/22423982.2025.2516872","DOIUrl":"10.1080/22423982.2025.2516872","url":null,"abstract":"The Northwest Territories, Canada, has high rates of alcohol- and drug-related hospitalisations and deaths. There is considerable debate over how to provide substance use recovery services in this region, due to its small, culturally diverse population. The aim of this study was to examine demographic differences in ethnicity, gender and sex for individuals in the barriers to accessing services, supports to stay in recovery, and reasons they struggled to stay in recovery. A total of 439 respondents completed online and paper-based surveys on their experiences accessing recovery services in the Northwest Territories. A mixed methods approach was applied, in which Fisher's exact test was applied to test for statistically significant demographic differences in quantitative responses, and themed analysis was performed using deductive coding using written survey responses. Several statistically significant demographic differences were identified in barriers to services, supports to recovery, and barriers to staying in recovery. Cultural incongruity, and the importance of social support to substance use disorder recovery, were identified as key themes that emerged in qualitative analysis. There is a need for community-based, culturally safe, and family-inclusive holistic supports at the community level to address substance use issues in the NT, including more informal confidential supports and efforts to reduce stigma and normalise and celebrate recovery.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2516872"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bone mineral content among Inuit - a systematic review of data. 因纽特人骨矿物质含量——数据的系统回顾。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-05-19 DOI: 10.1080/22423982.2025.2502249

Jonas Bjørn Skjøth, Therese Mygind Hagens, Inuuteq Fleischer, Mogens Laursen, Stig Andersen

{"title":"Bone mineral content among Inuit - a systematic review of data.","authors":"Jonas Bjørn Skjøth, Therese Mygind Hagens, Inuuteq Fleischer, Mogens Laursen, Stig Andersen","doi":"10.1080/22423982.2025.2502249","DOIUrl":"10.1080/22423982.2025.2502249","url":null,"abstract":"Inuit are a distinct ethnic group living in an environment likely to influence calcium metabolism and skeletal health. Bone mineral content (BMC) is a marker of skeletal health and fracture risk. Age is a dominant risk factor for osteoporosis, emphasising the importance of skeletal health in the ageing Inuit populations. This systematic review aims to provide an overview of data on BMC among Inuit. We performed a systematic search for data on BMC among Inuit guided by an experienced librarian. The search identified 211 studies, of which six provided data on BMC among Inuit living in Alaska or Canada. In men/women, BMC peaked around the age of 25 years in distal radius at 1.55/1.07 g/cm2 and in distal ulna at 0.81/0.54 g/cm2. Diaphysis of ulna, humerus, and tibia peaked around 10 years later. The 23% to 30% sex differences in BMC were similar across studies. Age related changes were parallel to other populations. In conclusion, BMC in Inuit is presented for easy viewing and comparison. BMC was similar between Inuit populations, and sex and age-related differences were comparable to other populations. New scientific studies should update data, include spine and hip, describe bone structure, and consider fracture risk beyond BMC.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2502249"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preparing for home death in rural areas - the experience of family caregivers providing palliative cancer care. 为农村地区的家庭死亡做准备——家庭照顾者提供姑息性癌症护理的经验。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-05-19 DOI: 10.1080/22423982.2025.2507443

Elisabet Breivik, Bente Ervik, Gabriele Kitzmüller

{"title":"Preparing for home death in rural areas - the experience of family caregivers providing palliative cancer care.","authors":"Elisabet Breivik, Bente Ervik, Gabriele Kitzmüller","doi":"10.1080/22423982.2025.2507443","DOIUrl":"10.1080/22423982.2025.2507443","url":null,"abstract":"Palliative care policies worldwide support people's wishes to spend their final days at home with family caregivers playing a vital role. In Norway, 16% of the population lives in rural areas where palliative end-of-life care is especially challenging due to geographical barriers and limited access to healthcare resources. Research on rural family end-of-life care for people with cancer is sparse. Therefore, the purpose of this study was to investigate what resources are needed for rural family caregivers when providing end-of-life care and preparing for home death for a person with cancer. Thirteen semi-structured in-depth interviews with family caregivers in seven rural municipalities in Northern Norway were conducted from February to April 2023. The thematic analysis revealed three key themes supporting caregivers' resilience: end-of-life care and home death require available resources in family caregivers; the availability of reliable professional follow-up services for end-of-life care; support from family and social networks compensate for lacking healthcare resources. Holistic healthcare for rural populations should consider aspects like distance and cost while involving the entire family and their social network. Local palliative care beds and telehealth services should be available to support rural family caregivers.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2507443"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Building capacity: paediatric vision screening in elementary schools. 能力建设：在小学进行儿童视力筛查。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-07-04 DOI: 10.1080/22423982.2025.2525621

Madeline L Lischynski, Marcella Ogenchuk

引用次数: 0